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Journal of Hand and Microsurgery

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https://www.readbyqxmd.com/read/28018058/intramedullary-screw-and-kirschner-wire-fixation-for-unstable-scaphoid-nonunion
#1
Raviv Allon, Aviv Kramer, Ronit Wollstein
Surgical treatment of scaphoid nonunion is not always successful, often requiring stabilization and bone grafting to achieve healing. Even after intramedullary screw fixation, residual instability may still hinder union. The purpose of this study was to describe the addition of Kirschner wires (KWs) through the capitate and the lunate to supplement an intramedullary screw for temporary enhanced stability, possibly improving healing of unstable fractures. A case-control study reviewing 25 cases with addition of KWs and 19 controls was performed...
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28018057/treatment-and-postsurgery-functional-outcome-of-spaghetti-wrist
#2
Hamed Yazdanshenas, Alireza Fadaee Naeeni, Anousheh Ashouri, Eleby R Washington, Arya Nick Shamie, Kodi Azari
Background The outcomes of treating severe wrist injuries are not well understood and despite their complexity and prevalence, particularly among young adults, spaghetti wrist is rarely investigated. The aim of this study is to evaluate the postsurgery, functional outcome of spaghetti wrist injuries. Material and Methods In this prospective cross-sectional study, 153 patients with spaghetti wrist injuries were followed up for approximately 20 months and were assessed regarding returning to work and postsurgical functional outcomes that included tendon functionality, opposition, intrinsic function, deformity, sensation, and grip strength...
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27999467/the-bowstring-arch-bridge-analogy-to-guide-sequential-portal-placement-during-needle-aponeurotomy-in-the-treatment-of-dupuytren-contracture
#3
Roshin Thomas
No abstract text is available yet for this article.
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27999466/open-reduction-of-the-dislocated-pisiform-bone
#4
Maarten T Letsch, H L Luitzen de Boer, Duy Thuan Nguyen
No abstract text is available yet for this article.
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27999465/finger-imaging-by-radiovisiography-digital-dental-radiography-imaging-system
#5
Pandurangan Harikrishnan
No abstract text is available yet for this article.
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27999464/simultaneous-arthrodesis-of-proximal-and-distal-interphalangeal-joints-in-hand-trauma
#6
Sreedharan Sechachalam
No abstract text is available yet for this article.
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27999463/the-amputated-hand-of-the-brabo-fountain-antwerp-belgium
#7
Ahmadreza Afshar
No abstract text is available yet for this article.
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27999462/radial-artery-forearm-flap-anomaly-a-rare-anomaly-and-the-importance-of-the-proximal-exploratory-incision
#8
Aniketh Venkataram, Sunderraj Ellur, Deepak Muninarayana, Vijay Joseph
During a free radial forearm flap harvest, we encountered a variant anatomy of the arterial system. The brachial artery was found to travel with the median nerve and bifurcate 10 cm below the antecubital fossa, under cover of the pronator teres. The radial artery then emerged from the pronator and continued on its usual path. This anomaly has been reported only once thus far. We report this case to highlight our practice of always starting with a proximal exploratory incision to identify the anatomy before raising the flap, which is what enabled us to adapt to this variation with a satisfactory outcome...
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27999461/radial-artery-pseudoaneurysm-with-aberrant-radial-artery-anatomy-an-unusual-presentation-of-flexor-tenosynovitis
#9
Nicholas A Calotta, Megan E Gornet, Edward F McCarthy, Donna Magid, E Gene Deune
Purpose Radial artery pseudoaneurysm is uncommon and mainly associated with radial artery cannulization for cardiac intervention or invasive hemodynamic monitoring. It is rarely seen as a result of intra-arterial recreational drug injection. Methods We present the case of a 35-year-old man with a 12-year history of intravenous drug use and 1-year history of intra-arterial drug use who developed radial artery pseudoaneurysm with a right long finger suppurative flexor tenosynovitis and subsequent acute radial-sided hand ischemia...
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27999460/minimally-displaced-distal-radius-fracture-treated-with-closed-reduction-and-percutaneous-fixation-resulting-in-an-iatrogenic-galeazzi-lesion
#10
Luce Compagnone, Rakan Ghazal, Federico Canavese
Galeazzi fracture in skeletally immature patients is a relatively uncommon injury. No previously published case has been associated with an iatrogenic mechanism. Here, we report a case of a 10-year-old boy with a minimally displaced distal radius fracture evolving into a Galeazzi lesion after unnecessary surgical treatment. Unnecessary surgical procedure associated with poor knowledge of bone growth and physiology contributed significantly to the reported condition.
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27999459/the-use-of-minilocked-plate-for-management-of-unstable-metacarpal-fractures
#11
Ahmed Mohammed Al-Madawy, Mohamed Mahmoud Abou Elatta, Mostafa Mahmoud Hasanin, Ashraf Abd El-Kader Al-Nahal
Objective This study aims to evaluate the use of minilocked plates in the treatment of the metacarpal fractures. Method A total of 30 patients of metacarpal fractures were treated by minilocked plates. Results Union was achieved in all patients. There were 27 (90%) patients having satisfactory results (excellent and good results) and 3 patients (10%) had poor results. Conclusion The use of minilocked plate is recommended for fixation of periarticular, comminuted, and osteoporotic metacarpal fractures that offer rigid fixation early mobilization, decreases the incidence of joints stiffness, and tendon adherence which maximized the hand function...
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27999458/titanium-versus-stainless-steel-plating-in-the-surgical-treatment-of-distal-radius-fractures-a-randomized-trial
#12
Sameer Shakir, Sanjay Naran, Mithun Neral, Ronit Wollstein
Our purpose was to compare postoperative complications and rate of plate removal in titanium and stainless-steel plating of distal radius fractures (DRF). Patients following DRF were randomly fixed with titanium or stainless-steel plates using the same plating system. Complications, second surgeries, and plate prominence were documented. A total of 41 patients were treated with stainless-steel and 22 with titanium plates. Average follow-up was 60 ± 5.6 months. There was no difference in demographics, fracture characteristics, or follow-up between the groups...
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27999457/demographic-characteristics-anatomical-distribution-and-clinical-presentations-of-lipomatosis-tumors-arising-from-hand-and-wrist
#13
Adviye Ergun, Aslan Akin, Mehmet Sukru Sahin, Ali Kitis
The aim of this study is to analyze demographic characteristics, anatomical distribution, and clinic presentations of the lipomatosis masses in hand and wrist. The hand and wrist magnetic resonance (MR) images of 2,453 patients were evaluated retrospectively. Nineteen cases were included in the study that is seen fat component in mass in MR images. Patients' age, sex, and clinical symptoms were noted. The size and the localization area of the mass were evaluated. Ordinary lipomas were detected in 18 (95%) patients, and fibrolipomatous hamartoma of the median nerve was detected in 1 patient (5%)...
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27999456/investigating-the-effect-of-intra-articular-platelet-rich-plasma-injection-on-union-pain-and-function-improvement-in-patients-with-scaphoid-fracture
#14
Hamid Namazi, Toomaj Kayedi
Introduction Fracture of the scaphoid bone is the most common fracture of the carpus. However, the fracture union occurs late or may not heal. Sometimes, fracture healing requires prolong immobilization. Because of potential for joint stiffness, muscle atrophy, or the inability to use the hand during and after prolonged immobilization, there is great incentive to develop therapies that will accelerate bone healing and allow a quick return to work. To date, the effect of platelet-rich plasma (PRP) on scaphoid fracture has not been studied...
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27999455/intramedullary-fixation-of-metacarpal-fractures-using-headless-compression-screws
#15
Daniel G Tobert, Melissa Klausmeyer, Chaitanya S Mudgal
Introduction The purpose of this study is to examine the clinical results of retrograde intramedullary headless screw (IMHS) fixation for metacarpal fractures. Methods A retrospective review was performed on 16 patients with 18 metacarpal fractures who underwent IMHS fixation at a single institution. The average age was 32 years. The indications for surgery included rotational malalignment (five patients), multiple metacarpal fractures (five patients), angular deformity (four patients), and shortening greater than 5 mm (two patients)...
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27625548/traction-tinel-sign
#16
Simon Robinson, Chye Yew Ng
No abstract text is available yet for this article.
August 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27625547/scratch-collapse-test-is-a-useful-clinical-sign-in-assessing-long-thoracic-nerve-entrapment
#17
Elizabeth M Pinder, Chye Yew Ng
The scratch collapse test (SCT) is a relatively new clinical test in which a positive result implies entrapment neuropathy of the nerve tested. Initially described for carpal and cubital tunnel syndromes, subsequent authors have found it useful for the assessment of median, ulna, radial, axillary, and common peroneal nerves. We report a case illustrating the value of the SCT in the clinical assessment of thoracic nerve entrapment.
August 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27625546/closed-extensor-digitorum-communis-tendons-rupture-at-the-musculotendinous-junction-a-case-report
#18
Ali Tabrizi, Ahmadreza Afshar
No abstract text is available yet for this article.
August 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27625545/disruption-of-the-thumb-dorsal-extensor-mechanism-in-two-catchers
#19
Joseph N Liu, Grant D Shifflett, Steve K Lee
No abstract text is available yet for this article.
August 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27625544/pathological-avulsion-fracture-of-the-flexor-digitorum-profundus-after-enchondroma-case-report
#20
Chul Ki Goorens, Jan Wouter Huizing, Jean F Goubau
No abstract text is available yet for this article.
August 2016: Journal of Hand and Microsurgery
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